Remove 2021 Remove Fraud Remove Medicare Remove US Department of Health and Human Services
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How to Prevent Medicare Advantage Fraud, Waste, and Abuse

Provider Trust

US Department of Health and Human Services (HHS) Office of Inspector General Christi A. Grimm gave a lecture at the 2023 RISE National Conference in early March 2023 about Medicare Advantage, or Medicare Part C, and the increased risk of fraud due to the rapid growth of healthcare programs.

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Michigan Registered Nurse Pleads Guilty in COVID-19 Vaccination Record Card Fraud

Med-Net Compliance

A registered nurse from a veteran’s hospital in Detroit pleaded guilty to charges related to COVID-19 vaccination record cards fraud. Her theft of the cards began at least as early as May 2021 and continued through September 2021. Her theft of the cards began at least as early as May 2021 and continued through September 2021.

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How Serious are OIG Exclusions? Key Insights into the Fraud Risk Spectrum

Provider Trust

It’s no secret–when fraud enters healthcare, things get risky. But how exactly does the HHS-OIG (Office of Inspector General), the main body responsible for conducting investigations into suspected fraudulent activity, address healthcare fraud and assess future risk of these bad actors? Department of Justice (DOJ), the U.S.

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OIG Advisory Opinion Alert: Yet Another Favorable Decision for Medical Device Manufacturers

Healthcare Law Blog

On Thursday, March 16, the Office of the Inspector General for the Department of Health and Human Services (“OIG”) issued OIG Advisory Opinion (“AO”) No. 22-05 , relating to subsidization of certain Medicare cost-sharing obligations in the context of a clinical trial involving medical devices (the “Proposed Arrangement”).

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Using Generative AI to Streamline Clinician Workflow and Reduce Burnout

HIT Consultant

In 2021, 62.8% hours entering electronic health records (EHR data), and managing patient loads of 2,000 or more. Providers can use time savings to lessen workloads and improve the quality of life for teams or serve more patients, driving revenues and profitability. Ravindra Patil, Sr. In addition, the U.S.

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Health Provider News – November 4, 2022

Hall Render

AMA scrutinizes lack of competition, consumer harms in Medicare Advantage plans. CMS makes big changes to Medicare Shared Savings Program. CMS makes big changes to Medicare Shared Savings Program. CVS Health, Walgreens each to settle all opioid cases for $5B. USDA funds 11 rural Alabama health care projects with $7.3

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Health Provider News – September 16, 2022

Hall Render

4 Health Systems Join Provider-Created Data Collective to Improve Care. Full 4th Circuit to tackle Medicaid fraud standard under False Claims Act. House passes reform to Medicare Advantage prior authorizations. Why asking about social determinants of health is so important. Amazon wants to add payer strategy muscle.